| NPI | 1295978054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUCKER Enrollment & Patient Accts Manager 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0650872) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-04-05 |